The term ¶management · can be defined as the direction and control of an organization to obtain optimum results. The administr ator/manager has to specify the aims and objectives of the organisation and then set out a progr amme/method by which the aim may be acheived
All organization can be represented as Organization
Input
Production
Output
Within the organization, the work can be sub-divided into the dir ect production and service activities Input
Services Production
Output
The org an ized ho s pi ta l p h armac y d ep artme n t h as an i n tegr a ted s etup c o ns i s ti n g of di s pen s i n g s e c tio n, man u f ac t u r i n g s e c ti o n, qu a lity c o n trol s e c tio n an d c l i n i c al ph a rmac y
ADMINISTRATOR
HEAD OF PHARMACY SERVICES (M.Pharm)
Dispensing chemist
In patient
Manufacturing chemist
Out patient
Clinical pharmacist
Manufacturing of I.V fluid
Quality Control pharmacist
Medical stores pharmacist
Other manufacturing services
1) A Chief Pharmacist-1 Equivalent
to that of Senior Medical Officer Would be heading the Hospital Pharmacy Department
2) Secretarial Assistant A
non-technical per son Would be assisting the Chief Pharmacist in secretarial jobs 3) Gr aduate Pharmacist-1 To provide technical and managerial support to Chief Pharmacist-1
4) Junior & Senior Pharmacists
To work in main store, sub-store, dispensing section etc. They are under gr aduate pharmacist and reports to gr aduate pharmacist
5) Helper s
To support functions and functionaries in pharmacy
beds (Small District Hospital) 2 Head Pharmacists (having degree in Pharmacy) In-patient Out-patient 5 Assistant Pharmacists(having diploma in Pharmacy) 2 under Head Pharmacist(In-patient) 3 under Head Pharmacist (Out-patient)
100-400
beds (District/Small teaching Hospital) Chief Pharmacist (having degree in Pharmacy) 2 Head Pharmacists In-patient Out-patient 6 Assistant Pharmacist 3 under Head Pharmacist(In-patient) 3 under Head Pharmacist (Out- patient) 500
1000
beds (Teaching Hospital)
One Superintendent of Pharmacy (having Post Gr aduate degree in Pharmacy) 3 Chief Pharmacists Medical and surgical stores Out-patient services Quality assur ance
35 Assistant Pharmacists 6 under Chief Pharmacist 1 for medicine supplies 4 under Chief Pharmacist 1 for medical devices and surgical items 21 under Chief Pharmacist 2 4 under Chief Pharmacist 3
The pharmacy should be located in the hospital premises so that patients and staffs can easily approach it In multi-storied building of a hospital, the pharmacy should be prefer ably located on the ground floor especially the dispensing unit The departments are so laid out that there is continuous flow of men and materials Out-patient pharmacy should give a pleasant appear ance
ASEPTIC SECTION
MANUFACTURING SECTION
RAW MATERIALS STORES FINISHED PRODUCTS
PASSAGE ADMINISTRATIVE SECTION
Dispensing Open space
Should have educative poster s on health Space must be provided for routine manufacturing The manufacturing room and medical stores should be adjacent to pharmacy Medical stores & manufacturing units issue against requisition from various departments Pharmacy issues materials to in-patients and out-patients The in-patients are served by nur sing stations
There are great variations in the size of floor space devoted to pharmacy in hospitals of the same size and type Floor Space
Requir ements
The pharmacy requires a minimum of 250 sq. feet for any sized hospital
From that point onwards, basic requirements from 10 sq. feet per bed in 100 bedded hospital, 6 sq. feet per bed in 200 bedded hospital and an aver age of at least 5 sq. feet per bed in larger hospitals The floor s of pharmacy should be smooth, easily washable and acidresistant
In manufacturing sections, dr ains should be provided, walls should be smooth, painted in light color s The wooden cabinets are enameled or laminated Fluorescent lamps are placed immediately above the prescription counter Gas outlets are required on the work table or counter for the Bunsen bur ner s
The usual equipment's are Prescription case
Drug stock cabinets with proper shelves and dr awer s
Sectional dr awer cabinets with cupboard bases
Work tables and counter s for routine dispensing
Sink with dr ain board
Cabinet to store mortar and pestles Cabinet for glass utensils, funnels, flask s and beaker s Refriger ator of suitable capacity Nar cotics safe with individually locked dr awer s Office desk with telephone connection and file cabinet Shelf space for pharmacy libr ary
M a n y f a c to r s th a t a f f e c t t h e l e v e l o f w o r k i n t h e i n d i v i d u a l p ha r m a c y , b y f a r t he m o s t i m p o r ta n t b e i n g t h e p r e s c r i b i ng a c t i v i t y o f t h e m e d i c al s ta f f
O t h e r s include the extent to w hi ch manu facturi ng is carried o ut, the methods use within t he d epartment, th e services offered to the other professions in the h ospi tal and the extent to which these services are used
In addition, there may be a consider able amount of work involved in the provision of supplies for the community services A technique is needed which will enable the activity and workload of a department to be measured At present, the only indicator s available are the total expenditure on drugs and number of beds served
The total number of items issued can be recorded and this will indicate the workload in the dispensing and ward supply sections The totals so collected will give some crude indication of the work carried out and will show any trends in the demands made upon the departments
M C Allwood & J T Fell ., Textbook of Hospital Pharmacy, 1st ed. Australia: Blackwell Publications; 1980. p. 18-46 William E Hassan., Textbook of Hospital Pharmacy, 5 th ed. U.S.A: Lea & Febiger; 1986. p. 35-90 Mc.Gibbony JR. Principles of Hospital Administration, 2nd edition, GP Putnam and Sons, New York 1969. K .G. Revikumar, Text book of Pharmacy Practice, 1 st ed. 2009. p.52
